[Atypical Lewy body disease revealed by burning mouth syndrome and a pseudo-psychiatric syndrome]

J Varvat; C Thomas-Anterion; M Decousus; A Perret-Liaudet; B Laurent

doi:10.1016/j.neurol.2009.10.018

[Atypical Lewy body disease revealed by burning mouth syndrome and a pseudo-psychiatric syndrome]

Rev Neurol (Paris). 2010 May;166(5):547-9. doi: 10.1016/j.neurol.2009.10.018. Epub 2009 Dec 31.

[Article in French]

Authors

J Varvat¹, C Thomas-Anterion, M Decousus, A Perret-Liaudet, B Laurent

Affiliation

¹ Service de neurologie, CHU Nord, 42055 Saint-Etienne cedex 02, France. [email protected]

PMID: 20045161
DOI: 10.1016/j.neurol.2009.10.018

Abstract

Introduction: Among the degenerative diseases of the nervous system, Lewy body disease has the most psychiatric symptoms especially hallucinations, delusion and identification disorders.

Case report: We report a case of Lewy body disease that started with a burning mouth syndrome for three year as the only symptom before the development of a pseudo-psychiatric syndrome (melancholy and Capgras). None of the usual cardinal criteria were present. MRI, cerebrospinal fluid, and DAT scan findings enabled the diagnosis.

Conclusion: The dopaminergic hypothesis put forward in some cases of burning mouth syndrome might explain this symptom in Lewy body disease.

Publication types

Case Reports
English Abstract

MeSH terms

Burning Mouth Syndrome / complications*
Burning Mouth Syndrome / psychology
Capgras Syndrome / complications
Capgras Syndrome / psychology
Depressive Disorder / complications
Depressive Disorder / psychology
Humans
Lewy Body Disease / complications
Lewy Body Disease / diagnosis*
Lewy Body Disease / psychology
Magnetic Resonance Imaging
Male
Mental Disorders / complications
Mental Disorders / diagnosis*
Mental Disorders / psychology
Middle Aged